Organization
PLAYBOX PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY GRACE MARIANO MSED, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(206) 785-5898
Entity
Organization
Contact information
Practice address
12036 64TH AVE S, SEATTLE, WA 98178-3603
(206) 785-5898
Mailing address
12036 64TH AVE S, SEATTLE, WA 98178-3603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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